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University Assistant/Associate Professor in Clinical Genomics of Transfusion and TransplantationUniversity Assistant Professor (£42,149 - £53,348 pa) /Associate Professor (£56,587 - £60,022 pa), depending on skills and experienceWe are seeking an outstanding candidate with an excellent record how do you get lasix of independent research who will be expected to direct a rigorous, high quality and externally funded research programme at an international level. Interdisciplinary and collaborative research is strongly encouraged across the University and its associated institutes how do you get lasix. They are also expected to make contributions to NHSBT health service innovation projects.This new post is based within the Department of Haematology at the University of Cambridge School of Clinical Medicine (https://www.haem.cam.ac.uk/), established with funding support from NHS Blood and Transplant (NHSBT) (https://www.nhsbt.nhs.uk/). Since NHSBT was founded, the organisation has maintained and improved the quality of the how do you get lasix services delivered to patients, and in collaboration with world leading academic institutions has established itself as an international leader in Blood Transfusion and Transplantation research.
The postholder will be based how do you get lasix in the new Heart and Lung Institute. This state of the art building is adjacent to Royal Papworth and Addenbrooke's Hospitals and multiple research institutes (http://cambridge-biomedical.com).The new appointee will undertake internationally competitive research, aimed at addressing key questions related to:The genomics and AI-informed matching of blood, platelets and tissues;The genetic architecture of alloimmunisation;Enhancing the interpretation of full blood count analysis by the application of ML &. AI.The appointee will be expected to how do you get lasix lead and shape their area of research expertise, produce original research of the highest level and add to a culture of vibrant research engagement and impact. The successful candidate will also be expected to select and supervise PhD students to support the generation of future how do you get lasix academic leaders.Informal enquiries about the post are welcome via email to Anthea Stanley ajs333@cam.ac.uk Fixed-term.
The funds for this post are available for 5 years in the first instance.This appointment requires a Research Passport application.To apply online for this vacancy and to view further information about the role, please visit :http://www.jobs.cam.ac.uk/job/35483.Closing date. 17 July how do you get lasix 2022Interview date. TBCApplications, consisting of a letter of application, a statement of current and future research plans, a curriculum vitae and a publications list, along with details of three referees and completed Additional Information sheet (found under Further Documents) should be made online no later than 17 July 2022.Please quote reference RB31788 on your application and in any correspondence about this vacancy.The University values diversity and is committed to equality of opportunity.The University has a how do you get lasix responsibility to ensure that all employees are eligible to live and work in the UK.This post requires an enhanced clearance from the Disclosure and Barring Service for Adult WorkforceApplicants are required to submit a current CV and covering letter outlining how their qualifications and experience meet the Person Specification in the Job Description below IntroductionThe University of Hull are looking for a new, full time team member in the Occupational Health (OH) department. Are you interested in working with students and staff at the University?.
You will work within an established, small, friendly and experienced team of clinical nurse how do you get lasix specialists, an OH technician and an OH Physician. Working regular hours â no shift work, in how do you get lasix a nurse led service. The OH team are based in a dedicated OH department. ResponsibilitiesYour main responsibilities will be providing an OH service to groups of students, undertaking pre-training assessments to determine their fitness to undertake practice how do you get lasix placements.
This includes a wide range of students from medical students to teachers, sports how do you get lasix science students to paramedics. Providing occupational vaccinations and taking bloods and also undertaking student referrals. The role involves providing OH reports on individual students how do you get lasix and also providing OH advice to departments. You will work with both undergraduate and how do you get lasix post graduate students.
Additionally, you will support the delivery of the staff OH service, including health surveillance and fitness for task assessments.Person SpecificationYou need to be a registered nurse on part 1 of the Nursing and Midwifery Council register. Ideally with how do you get lasix OH experience and qualifications. However, you may have experience in how do you get lasix other specialties such as practice nursing or have transferable skills for the OH setting. You will need to be able to work well within a team but also work autonomously.
Being able to communicate effectively both in writing and verbally with staff, students, other how do you get lasix clinicians and managers is vital to the role.What can we offer you?. The University has agile working and the OH team are flexibleThe team has extensive OH experience in a range of OH settings, you will be supported and developed in your role by the teamWe can offer the opportunity to train as an occupational health practitioner -following at least one year of gaining experience in the OH department which will provide the core knowledge and experience to then develop your knowledge and skills furtherA beautiful and friendly campusExcellent holiday allowance Starting Salary and hoursA full time role, 36.5 hours per week, with a salary band £28,756 - £34,304LocationBased in Occupational Health department, at the University of Hullâs Cottingham Road campus.Contact for enquiriesSarah Redfearn Senior OH Nurse Advisor Telephone OH department on 01482 466010e.mail OH department on occupationalhealth@hull.ac.ukFurther details:At Hull we are committed to equality of opportunity, diversity and inclusion at every level, because we believe a diverse workforce brings broader expertise, improved innovation and greater success for all. Please note that we are unable to respond to enquiries, accept CVs or applications from Recruitment Agencies..
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IntroductionThe WHO, here are the findings the International Council of Nurses and Nursing Now, lasix special had planned to raise the global public profile of nursing in 2020 as a consequence of Florence Nightingales 200th anniversary. However, with the unexpected arrival of the hypertension lasix in lasix special late 2019, nurses and the nursing profession found themselves having unexpected media attention. The degree and type of media attention that nursing achieved during this time were never anticipated. This article considers the reality of nursing, both the role and profession in the UK in 2021 compared with the public perception and temporal media portrayal.Stereotypes lasix special of nursingThe media mediates public perception(s) through imagery and messaging.
However, with reduced public understanding of healthcare services, inadequate understanding of healthcare professional roles and responsibilities, and reduced health literacy in the general population,1 there is ample opportunity for misinformation and psychological bias (such as confirmation bias or stereotyping) to operate in the mainstream discourse dictating and perpetuating a false image of nursing.2 Given that nursing is the largest global occupation of predominately female employees3 and the National Health Service (NHS) is the largest employer in Europe, qualified nurses in the UK make up 26% of the total NHS workforce.4 The consequences of nursing having a poor public image subsequently impact the profession being undervalued, with poor recruitment, retention and indirectly influence patient healthcare.4Since the 1970s, nursing had forwarded Advanced Clinical Practice and specialist roles.5 Conversely, for decades, the media has portrayed nurses as predominantly subservient to doctors and referred to nurses as the doctorâs âhandmaidenâ and not as independent practitioners. The idea of nursing subservience is rooted in a gross misunderstanding of the nurseâs role,6 7 with outdated patriarchal and gendered ideas around male-doctor dominance and female subservience.8 9 From the outsider and non-informed perspective, the â¦IntroductionPhotovoice is a participatory action research method which provides cameras to a group of individuals and asks them to record their experiences over a period of time.1 The photographs taken by lasix special participants are subsequently used as catalysts for discussion. ÂPhotovoiceâ is so called because it aims to allow the photographic image to become the participantsâ voice in order to communicate their experiences to a variety of different audiences. Originally developed by Wang and Burris as a way to improve reproductive health policy for women in rural China, lasix special Photovoice has three primary goals.
(1) to enable participants to record and reflect on their communityâs strengths and concerns, (2) to promote critical dialogue and (3) to reach stakeholders (both policy makers and the general public) who are able to enact change.1Photovoice is a particularly relevant method for the field of Nursing because of its historical concern for social justice.2 Photovoice is similarly rooted in the ideas of social justice and emphasises individual and community empowerment through participation. Likewise, it is important for nurses to possess an understanding of the lived experiences of their lasix special own patients. This is particularly the case with those who are marginalised or those whose needs are unrecognised, or where nurses and others may struggle to understand how best to act in a practice situation.3 Successful use of this method could assist healthcare professionals and policy makers to â¦.
IntroductionThe WHO, the International Council of Nurses and Nursing Now, had planned to raise the global public how do you get lasix look at this site profile of nursing in 2020 as a consequence of Florence Nightingales 200th anniversary. However, with the unexpected arrival of the hypertension lasix in late 2019, nurses and the nursing profession found themselves having unexpected media how do you get lasix attention. The degree and type of media attention that nursing achieved during this time were never anticipated. This article considers the reality of nursing, both the role and profession in the UK in 2021 compared with the public perception and temporal media how do you get lasix portrayal.Stereotypes of nursingThe media mediates public perception(s) through imagery and messaging. However, with reduced public understanding of healthcare services, inadequate understanding of healthcare professional roles and responsibilities, and reduced health literacy in the general population,1 there is ample opportunity for misinformation and psychological bias (such as confirmation bias or stereotyping) to operate in the mainstream discourse dictating and perpetuating a false image of nursing.2 Given that nursing is the largest global occupation of predominately female employees3 and the National Health Service (NHS) is the largest employer in Europe, qualified nurses in the UK make up 26% of the total NHS workforce.4 The consequences of nursing having a poor public image subsequently impact the profession being undervalued, with poor recruitment, retention and indirectly influence patient healthcare.4Since the 1970s, nursing had forwarded Advanced Clinical Practice and specialist roles.5 Conversely, for decades, the media has portrayed nurses as predominantly subservient to doctors and referred to nurses as the doctorâs âhandmaidenâ and not as independent practitioners.
The idea of how do you get lasix nursing subservience is rooted in a gross misunderstanding of the nurseâs role,6 7 with outdated patriarchal and gendered ideas around male-doctor dominance and female subservience.8 9 From the outsider and non-informed perspective, the â¦IntroductionPhotovoice is a participatory action research method which provides cameras to a group of individuals and asks them to record their experiences over a period of time.1 The photographs taken by participants are subsequently used as catalysts for discussion. ÂPhotovoiceâ is so called because it aims to allow the photographic image to become the participantsâ voice in order to communicate their experiences to a variety of different audiences. Originally developed by Wang how do you get lasix and Burris as a way to improve reproductive health policy for women in rural China, Photovoice has three primary goals. (1) to enable participants to record and reflect on their communityâs strengths and concerns, (2) to promote critical dialogue and (3) to reach stakeholders (both policy makers and the general public) who are able to enact change.1Photovoice is a particularly relevant method for the field of Nursing because of its historical concern for social justice.2 Photovoice is similarly rooted in the ideas of social justice and emphasises individual and community empowerment through participation. Likewise, it is important for nurses to possess an understanding of the lived experiences how do you get lasix of their own patients.
This is particularly the case with those who are marginalised or those whose needs are unrecognised, or where nurses and others may struggle to understand how best to act in a practice situation.3 Successful use of this method could assist healthcare professionals and policy makers to â¦.
What may interact with Lasix?
- certain antibiotics given by injection
- diuretics
- heart medicines like digoxin, dofetilide, or nitroglycerin
- lithium
- medicines for diabetes
- medicines for high blood pressure
- medicines for high cholesterol like cholestyramine, clofibrate, or colestipol
- medicines that relax muscles for surgery
- NSAIDs, medicines for pain and inflammation like ibuprofen, naproxen, or indomethacin
- phenytoin
- steroid medicines like prednisone or cortisone
- sucralfate
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
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Lasix fluid
The fair lasix fluid distribution of health click resources resources is critical to health justice. But distributing healthcare equitably requires careful attention to the existing distribution of other resources, and the economic system which produces these inequalities. Health is strongly determined by socioeconomic factors, lasix fluid such as the effects of racism on the health of communities of colour, as well as the broader market-oriented healthcare and pharmaceutical systems that put the pursuit of profit above the alleviation of suffering. Two papers in this issue confront health injustices at different scales, and make far-reaching recommendations for more just healthcare allocation policies.Severity is the morally relevant factorOrphan drugs are those that pharmaceutical companies are unwilling to develop unless they are offered financial incentives to do so. When a target patient group is very small (as with rare diseases), or very poor lasix fluid (as with neglected tropical diseases), producing drugs is unprofitable.
If patients are to benefit from these drugs in a marketised pharmaceutical regime, governments must step in to provide incentives for research and development. Yet government spending ought to prioritise value for money, and is generally lasix fluid guided by a utilitarian framework. In the case of neglected tropical diseases, there is no moral conflict. Large numbers of people would lasix fluid benefit greatly from these treatments. However, there are practical limitations.
The governments of affected populations are often unable to fund incentives for research and development, and solidarity from elsewhere is limited.1 2 In the case of rare diseases, Global North governments usually can afford to incentivise the development of treatments to serve their populations, but given the small numbers of beneficiaries, doing so seems a questionable use of resources.Many Global North governments make an exception to the general utilitarian heuristic to accommodate the moral lasix fluid intuition that the claims of a person with a rare disease are just as important as those of a person with a common disease. Current orphan drug policy formalises this reasoning by valuing an additional quality adjusted life year (QALY) more highly if it is acquired by treating a rare disease than a common one, where a strict prevalence cut-off applies.In this issueâs Feature Article, Monica Magalhaes challenges the widespread assumption that low prevalence is the correct moral grounds for being concerned about rare diseases.3 By exploring a range of possible reasons for favouring rarity, and rebutting them, Magalhaes concludes that it is the neglect of severe diseases, not merely rare diseases, that matters, and that âwhat seems unfair in our current system for developing and marketing drugs is that it does not respond to severity in the way it ought toâ.3 Magalhaes concludes that current policies should strive to ensure that severe diseases are appropriately prioritised, regardless of the morally-irrelevant fact of their prevalence. Severe rare diseases would thereby be given the attention they deserve, and lasix fluid even graver condemnation of the underfunding of neglected tropical diseases would be indicated, given that they are severe and common.Magalhaes briefly gestures towards the deeper problem of which these difficulties are an artefact. The premise to these discussions is that drug development is necessarily driven by the size and wealth of potential markets, rather than by moral reasoning. This is too often taken as lasix fluid given and held fixed, when it ought instead to be subject to serious moral scrutiny.
Our policies operate within and upon an arbitrary and deeply unjust regime, and are therefore, at best, corrections to a malfunctioning system.Tackling racism by tracking deprivationOver the last 2 years, the need to develop protocols for rationing life-saving health resources such as vaccinations and intensive care beds have become more urgent than ever. These protocols respond to pressing questions lasix fluid which require close engagement with scientific evidence and ethical reasoning. Which population groups should be vaccinated first?. Who lasix fluid should be offered a ventilator when there are only two units available, and five patients who will die without assistance?. Dominant guidelines for rationing ventilators (such as those used within New Jerseyâs ventilator allocation directive4) tend to prioritise those most likely to survive treatment, calculated through measures of organ health, such as the Sequential Organ Failure Assessment (SOFA) score.
The SOFA includes as one of its components a patientâs levels of creatinine, a muscle waste product whose levels can be used a proxy for kidney function http://www.ec-itterswiller.ac-strasbourg.fr/notre-fete-de-noel/. Creatinine is elevated by damage to the kidneys, a common consequence of diabetes and high blood pressure, which are in turn affected by diet, stress, exercise, and access to healthcare.Creatinine is therefore strongly determined by socioeconomic factors, and is accordingly more likely to be elevated lasix fluid among Black patients in the US, as a result of the effects of structural racism. Like many other health policies which incorporate existing comorbidities into allocation decisions, ventilator rationing is âcolourblindâ. It does not account for the lasix fluid race of the patient. In a context of racial injustice, this means that the policy ends up replicating, and compounding, existing inequalities.In this issue's Editor's Choice article, Harald Schmidt, Dorothy E.
Roberts, and lasix fluid Nwamaka D. Eneanya criticise these triage calculations for their tendency to deny ventilator access to Black patients.5 They examine a range of alternatives. One obvious candidate is to incorporate a ârace correctionâ for creatinine levels lasix fluid. Yet this would be a damaging move. Race corrections are already made in various areas lasix fluid of medicine.
They are generally based on scanty, dubious evidence, tend to entrench false notions of race essentialism, and, by causing medical professionals to expect worse health markers for certain groups, end up setting higher thresholds for Black people to receive care.6 Schmidt et al. Also reject the alternative option of eschewing distribution guidelines in favour of unqualified ventilator lotteries, lasix fluid on the grounds that arbitrary allocation compounds inequality by ignoring a wildly uneven baseline between Black and white patients.Schmidt et al. Argue that the only promising solution is to build socioeconomic disadvantage into the rationing guidance in order to visibilise and offset its effects on access to ventilators. They suggest that a measure like the âArea Deprivation Indexâ (which tracks neighbourhood disadvantage7) be incorporated into the calculations lasix fluid. This is an important proposal, because it neatly captures what is most pernicious about racismâthat it tends to lead to economic deprivation, and ipso facto, health deprivationâwithout relying on questionable definitions of âbiological race.â It emphasises the important, and too often underplayed, link between race and class, while serving poor populations as a whole.Two papers respond to Schmidt et al.âs work.
Alex James Miller Tate accepts their argument,8 but, drawing on Hellmanâs criteria for the compounding of structural injustice,9 suggests that their dismissal of unweighted ventilator lasix fluid lotteries is too quick. Tate argues that ventilator lotteries do not amplify inequalities. (Indeed, many people support lotteries because they destabilise the idea that those who are in better healthâwho are disproportionately white, wealthy, young, and non-disabledâare more deserving of lifesaving lasix fluid interventions.) However, Tate concedes that ventilator lotteries violate healthcare providersâ duties to prevent further injustice, on the grounds that they ought to be actively âleveraging the population-level effects of allocation frameworks to correct for past injustices, rather than merely trying to avoid making their effects worseâ.8In their response, Douglas White and Bernard Lo, architects of the New Jersey ventilator allocation guidelines, take issue with Schmidt et al.âs contention that the guidelines pay no attention to inequity, drawing attention to the guidelinesâ prioritisation of younger patients and essential workers.10 They argue that since people of colour are over-represented in frontline essential work, and are, due to health inequalities, more likely to suffer severe disease even when young, these criteria for ventilator allocation tend to offset race-based health inequality. They ask for more evidence that the current guidelines disadvantage Black patients, but agree that the incorporation of the Area Deprivation Index is necessary, and additionally suggest that the near-term prognosis criterion within the guidelines be modified to penalise only those whose death is expected within 1 year, rather than five.Schmidt et al defend their work against these criticisms.11 They point out that White and Loâs description of the guidelines refers to a more recent, corrected version that has not yet been updated in the public domain. They also direct readers towards two recent studies reporting racially unjust outcomes when using the SOFA heuristic,12 13 which suggest that, if ventilator access came under pressure due a new strain of hypertension medications, or a future lasix, the current policy âwould lead to the deaths of large numbers of black patients by inappropriately denying them ICU care despite good prognosesâ.11Ethics statementsPatient consent for publicationNot applicable.Ethics approvalThis study does not involve human participants..
The fair distribution of health how do you get lasix resources is critical to health justice cheap lasix canada. But distributing healthcare equitably requires careful attention to the existing distribution of other resources, and the economic system which produces these inequalities. Health is strongly determined by socioeconomic factors, such as the effects of racism on the health of communities how do you get lasix of colour, as well as the broader market-oriented healthcare and pharmaceutical systems that put the pursuit of profit above the alleviation of suffering. Two papers in this issue confront health injustices at different scales, and make far-reaching recommendations for more just healthcare allocation policies.Severity is the morally relevant factorOrphan drugs are those that pharmaceutical companies are unwilling to develop unless they are offered financial incentives to do so. When a target patient group is very small (as with rare diseases), or very poor (as with how do you get lasix neglected tropical diseases), producing drugs is unprofitable.
If patients are to benefit from these drugs in a marketised pharmaceutical regime, governments must step in to provide incentives for research and development. Yet government spending ought to prioritise value for money, how do you get lasix and is generally guided by a utilitarian framework. In the case of neglected tropical diseases, there is no moral conflict. Large numbers of people would benefit greatly from these how do you get lasix treatments. However, there are practical limitations.
The governments of affected populations are often unable to fund incentives for research and development, and solidarity from elsewhere how do you get lasix is limited.1 2 In the case of rare diseases, Global North governments usually can afford to incentivise the development of treatments to serve their populations, but given the small numbers of beneficiaries, doing so seems a questionable use of resources.Many Global North governments make an exception to the general utilitarian heuristic to accommodate the moral intuition that the claims of a person with a rare disease are just as important as those of a person with a common disease. Current orphan drug policy formalises this reasoning by valuing an additional quality adjusted life year (QALY) more highly if it is acquired by treating a rare disease than a common one, where a strict prevalence cut-off applies.In this issueâs Feature Article, Monica Magalhaes challenges the widespread assumption that low prevalence is the correct moral grounds for being concerned about rare diseases.3 By exploring a range of possible reasons for favouring rarity, and rebutting them, Magalhaes concludes that it is the neglect of severe diseases, not merely rare diseases, that matters, and that âwhat seems unfair in our current system for developing and marketing drugs is that it does not respond to severity in the way it ought toâ.3 Magalhaes concludes that current policies should strive to ensure that severe diseases are appropriately prioritised, regardless of the morally-irrelevant fact of their prevalence. Severe rare diseases would thereby be given the attention they deserve, and even graver condemnation of the underfunding of neglected tropical diseases would be indicated, given that they are severe and common.Magalhaes briefly gestures how do you get lasix towards the deeper problem of which these difficulties are an artefact. The premise to these discussions is that drug development is necessarily driven by the size and wealth of potential markets, rather than by moral reasoning. This is too often how do you get lasix taken as given and held fixed, when it ought instead to be subject to serious moral scrutiny.
Our policies operate within and upon an arbitrary and deeply unjust regime, and are therefore, at best, corrections to a malfunctioning system.Tackling racism by tracking deprivationOver the last 2 years, the need to develop protocols for rationing life-saving health resources such as vaccinations and intensive care beds have become more urgent than ever. These protocols respond to pressing questions how do you get lasix which require close engagement with scientific evidence and ethical reasoning. Which population groups should be vaccinated first?. Who should be offered a ventilator when how do you get lasix there are only two units available, and five patients who will die without assistance?. Dominant guidelines for rationing ventilators (such as those used within New Jerseyâs ventilator allocation directive4) tend to prioritise those most likely to survive treatment, calculated through measures of organ health, such as the Sequential Organ Failure Assessment (SOFA) score.
The SOFA includes as one of its components a patientâs levels of creatinine, a muscle waste product whose levels can be used a proxy for kidney function. Creatinine is elevated by damage to the kidneys, a common consequence of diabetes and high blood pressure, which are in turn affected by how do you get lasix diet, stress, exercise, and access to healthcare.Creatinine is therefore strongly determined by socioeconomic factors, and is accordingly more likely to be elevated among Black patients in the US, as a result of the effects of structural racism. Like many other health policies which incorporate existing comorbidities into allocation decisions, ventilator rationing is âcolourblindâ. It does not account for the race of the how do you get lasix patient. In a context of racial injustice, this means that the policy ends up replicating, and compounding, existing inequalities.In this issue's Editor's Choice article, Harald Schmidt, Dorothy E.
Roberts, and Nwamaka D how do you get lasix. Eneanya criticise these triage calculations for their tendency to deny ventilator access to Black patients.5 They examine a range of alternatives. One obvious candidate is to incorporate a ârace correctionâ how do you get lasix for creatinine levels. Yet this would be a damaging move. Race corrections are already made in various areas how do you get lasix of medicine.
They are generally based on scanty, dubious evidence, tend to entrench false notions of race essentialism, and, by causing medical professionals to expect worse health markers for certain groups, end up setting higher thresholds for Black people to receive care.6 Schmidt et al. Also reject the alternative option of eschewing distribution guidelines in favour of unqualified ventilator lotteries, on the grounds that arbitrary allocation compounds inequality by ignoring a wildly uneven baseline how do you get lasix between Black and white patients.Schmidt et al. Argue that the only promising solution is to build socioeconomic disadvantage into the rationing guidance in order to visibilise and offset its effects on access to ventilators. They suggest that a measure like the âArea Deprivation Indexâ (which tracks how do you get lasix neighbourhood disadvantage7) be incorporated into the calculations. This is an important proposal, because it neatly captures what is most pernicious about racismâthat it tends to lead to economic deprivation, and ipso facto, health deprivationâwithout relying on questionable definitions of âbiological race.â It emphasises the important, and too often underplayed, link between race and class, while serving poor populations as a whole.Two papers respond to Schmidt et al.âs work.
Alex James Miller Tate accepts their argument,8 but, drawing on Hellmanâs criteria for the compounding of structural injustice,9 suggests that their how do you get lasix dismissal of unweighted ventilator lotteries is too quick. Tate argues that ventilator lotteries do not amplify inequalities. (Indeed, many people support lotteries because they destabilise the idea that those who are in better healthâwho are disproportionately white, wealthy, young, and non-disabledâare more deserving of lifesaving interventions.) However, Tate concedes that ventilator lotteries violate healthcare providersâ duties to prevent further injustice, on the grounds that they ought to be actively âleveraging the population-level how do you get lasix effects of allocation frameworks to correct for past injustices, rather than merely trying to avoid making their effects worseâ.8In their response, Douglas White and Bernard Lo, architects of the New Jersey ventilator allocation guidelines, take issue with Schmidt et al.âs contention that the guidelines pay no attention to inequity, drawing attention to the guidelinesâ prioritisation of younger patients and essential workers.10 They argue that since people of colour are over-represented in frontline essential work, and are, due to health inequalities, more likely to suffer severe disease even when young, these criteria for ventilator allocation tend to offset race-based health inequality. They ask for more evidence that the current guidelines disadvantage Black patients, but agree that the incorporation of the Area Deprivation Index is necessary, and additionally suggest that the near-term prognosis criterion within the guidelines be modified to penalise only those whose death is expected within 1 year, rather than five.Schmidt et al defend their work against these criticisms.11 They point out that White and Loâs description of the guidelines refers to a more recent, corrected version that has not yet been updated in the public domain. They also direct readers towards two recent studies reporting racially unjust outcomes when using the SOFA heuristic,12 13 which suggest that, if ventilator access came under pressure due a new strain of hypertension medications, or a future lasix, the current policy âwould lead to the deaths of large numbers of black patients by inappropriately denying them ICU care despite good prognosesâ.11Ethics statementsPatient consent for publicationNot applicable.Ethics approvalThis study does not involve human participants..
Bumex to lasix
Credit image source bumex to lasix. IStock Share Fast Facts New @HopkinsMedicine study finds African-American women with common form of hair loss at increased risk of uterine fibroids - Click to Tweet New study in @JAMADerm shows most common form of alopecia (hair loss) in African-American women associated with higher risks of uterine fibroids - Click to Tweet In a study of medical records gathered on hundreds of thousands of African-American women, Johns Hopkins researchers say they have evidence that women with a common form of hair loss have an increased chance of developing uterine leiomyomas, or fibroids.In a report on the research, published in the December 27 issue of JAMA Dermatology, the researchers call on physicians who treat women with central centrifugal cicatricial alopecia (CCCA) to make patients aware that they may be at increased risk for fibroids and should be screened for the condition, particularly if they have symptoms such as heavy bleeding and pain. CCCA predominantly affects black women and is the most common form of permanent alopecia in bumex to lasix this population.
The excess scar tissue that forms as a result of this type of hair loss may also explain the higher risk for uterine fibroids, which are characterized by fibrous growths in the lining of the womb. Crystal Aguh, M.D., assistant professor of dermatology at the Johns Hopkins University School of Medicine, says the scarring associated with CCCA is similar to bumex to lasix the scarring associated with excess fibrous tissue elsewhere in the body, a situation that may explain why women with this type of hair loss are at a higher risk for fibroids.People of African descent, she notes, are more prone to develop other disorders of abnormal scarring, termed fibroproliferative disorders, such as keloids (a type of raised scar after trauma), scleroderma (an autoimmune disorder marked by thickening of the skin as well as internal organs), some types of lupus and clogged arteries. During a four-year period from 2013-2017, the researchers analyzed patient data from the Johns Hopkins electronic medical record system (Epic) of 487,104 black women ages 18 and over.
The prevalence of those with fibroids was compared in bumex to lasix patients with and without CCCA. Overall, the researchers found that 13.9 percent of women with CCCA also had a history of uterine fibroids compared to only 3.3 percent of black women without the condition. In absolute numbers, out of the 486,000 women who were reviewed, 16,212 had fibroids.Within that population, 447 had CCCA, of which 62 had fibroids.
The findings translate to a fivefold increased risk of uterine fibroids in women with CCCA, compared to age, sex and race bumex to lasix matched controls. Aguh cautions that their study does not suggest any cause and effect relationship, or prove a common cause for both conditions. ÂThe cause of the link between the two conditions bumex to lasix remains unclear,â she says.
However, the association was strong enough, she adds, to recommend that physicians and patients be made aware of it. Women with this type of scarring alopecia should be screened not only for fibroids, but also for bumex to lasix other disorders associated with excess fibrous tissue, Aguh says. An estimated 70 percent of white women and between 80 and 90 percent of African-American women will develop fibroids by age 50, according to the NIH, and while CCCA is likely underdiagnosed, some estimates report a prevalence of rates as high as 17 percent of black women having this condition.
The other bumex to lasix authors on this paper were Ginette A. Okoye, M.D. Of Johns Hopkins and Yemisi Dina of Meharry Medical College..
Credit How to get amoxil online how do you get lasix. IStock Share Fast Facts New @HopkinsMedicine study finds African-American women with common form of hair loss at increased risk of uterine fibroids - Click to Tweet New study in @JAMADerm shows most common form of alopecia (hair loss) in African-American women associated with higher risks of uterine fibroids - Click to Tweet In a study of medical records gathered on hundreds of thousands of African-American women, Johns Hopkins researchers say they have evidence that women with a common form of hair loss have an increased chance of developing uterine leiomyomas, or fibroids.In a report on the research, published in the December 27 issue of JAMA Dermatology, the researchers call on physicians who treat women with central centrifugal cicatricial alopecia (CCCA) to make patients aware that they may be at increased risk for fibroids and should be screened for the condition, particularly if they have symptoms such as heavy bleeding and pain. CCCA predominantly affects black women and is the most common form of permanent alopecia in this how do you get lasix population. The excess scar tissue that forms as a result of this type of hair loss may also explain the higher risk for uterine fibroids, which are characterized by fibrous growths in the lining of the womb.
Crystal Aguh, M.D., assistant professor of dermatology at the Johns Hopkins University School of Medicine, says the scarring associated with how do you get lasix CCCA is similar to the scarring associated with excess fibrous tissue elsewhere in the body, a situation that may explain why women with this type of hair loss are at a higher risk for fibroids.People of African descent, she notes, are more prone to develop other disorders of abnormal scarring, termed fibroproliferative disorders, such as keloids (a type of raised scar after trauma), scleroderma (an autoimmune disorder marked by thickening of the skin as well as internal organs), some types of lupus and clogged arteries. During a four-year period from 2013-2017, the researchers analyzed patient data from the Johns Hopkins electronic medical record system (Epic) of 487,104 black women ages 18 and over. The prevalence of those with fibroids was compared in patients with and without how do you get lasix CCCA. Overall, the researchers found that 13.9 percent of women with CCCA also had a history of uterine fibroids compared to only 3.3 percent of black women without the condition.
In absolute numbers, out of the 486,000 women who were reviewed, 16,212 had fibroids.Within that population, 447 had CCCA, of which 62 had fibroids. The findings translate to a fivefold increased risk of uterine fibroids in women with how do you get lasix CCCA, compared to age, sex and race matched controls. Aguh cautions that their study does not suggest any cause and effect relationship, or prove a common cause for both conditions. ÂThe cause of the link between the two conditions remains unclear,â how do you get lasix she says.
However, the association was strong enough, she adds, to recommend that physicians and patients be made aware of it. Women with this type of scarring alopecia should be screened not only for fibroids, but also for other disorders associated with how do you get lasix excess fibrous tissue, Aguh says. An estimated 70 percent of white women and between 80 and 90 percent of African-American women will develop fibroids by age 50, according to the NIH, and while CCCA is likely underdiagnosed, some estimates report a prevalence of rates as high as 17 percent of black women having this condition. The other authors on this how do you get lasix paper were Ginette A.
Okoye, M.D. Of Johns Hopkins and Yemisi Dina of Meharry Medical College..
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